Individual
DR. JENNIFER SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
9014 W THOMAS RD STE 103, PHOENIX, AZ 85037-3474
(623) 872-9117
Mailing address
9014 W THOMAS RD STE 103, PHOENIX, AZ 85037-3474
(623) 872-9117
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D011110
AZ
Other
Enumeration date
06/25/2021
Last updated
01/26/2023
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